Provider Demographics
NPI:1255922605
Name:AMEDIX
Entity type:Organization
Organization Name:AMEDIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:IZRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-628-5009
Mailing Address - Street 1:1500 CARDINAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1640
Mailing Address - Country:US
Mailing Address - Phone:888-826-3349
Mailing Address - Fax:888-826-3349
Practice Address - Street 1:1500 CARDINAL DR STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1640
Practice Address - Country:US
Practice Address - Phone:888-826-3349
Practice Address - Fax:888-826-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory